Chinese Journal of Rehabilitation Theory and Practice ›› 2024, Vol. 30 ›› Issue (2): 125-140.doi: 10.3969/j.issn.1006-9771.2024.02.001
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LIU Jingyu, YANG Yanyan, ZHANG Yuanmingfei, LIU Xiaoxie, ZHANG Na, ZHANG Zhiliang, ZHOU Mouwang(
)
Received:2024-01-06
Published:2024-02-25
Online:2024-03-01
Contact:
ZHOU Mouwang
E-mail:zhoumouwang@163.com
CLC Number:
LIU Jingyu, YANG Yanyan, ZHANG Yuanmingfei, LIU Xiaoxie, ZHANG Na, ZHANG Zhiliang, ZHOU Mouwang. 2022 Country Report on Medical Rehabilitation Services, Quality and Safety in Health Care System[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(2): 125-140.
Figure 1
Number of hospitals included and their grade distribution from 2016 to 2021"
Figure 2
Total used area of outpatient and treatment rooms in rehabilitation medicine departments of different types of general hospitals"
Figure 3
Average number of beds in rehabilitation medicine departments of different types of general hospitals and average percentage of total beds of hospitals"
Figure 4
Average area per bed and average bed spacing of rehabilitation medicine departments of different types of general hospitals"
Figure 5
Comparison of the sub-standard allocation of rehabilitation professionals in the rehabilitation medicine departments of general hospitals in 2020 and 2021"
Figure 6
Average number of medical personnel per bed of different levels and categories of hospitals"
Figure 7
Average annual number of discharged patients from rehabilitation medicine departments of different levels and categories of hospitals"
Figure 8
The number of inpatients with major diseases and their proportion structure in rehabilitation medicine departments of general hospitals"
Figure 9
The number of inpatients with major diseases and their proportion structure in rehabilitation hospitals"
Figure 10
Early rehabilitation intervention rate of various specialized wards of different levels and categories of hospitals in 2020 and 2021"
Figure 11
Early rehabilitation intervention rate of key diseases of different levels and categories of hospitals in 2020 and 2021"
Table 1
Number and proportion of rehabilitation assessment and operation items for inpatients"
| 重点治疗项目 | 委属委管医院 | 三级综合医院 | 二级综合医院 | 民营医院 | 康复医院 |
|---|---|---|---|---|---|
| 科年均脑卒中人数/n | 602.72 | 318.57 | 171.59 | 218.21 | 1122.72 |
| NIHSS评定/n(%) | 471.17(78.17) | 170.78(53.61) | 102.90(59.97) | 85.10(39.00) | 155.18(13.82) |
| Brunnstrom评定/n(%) | 583.18(96.76) | 290.15(91.08) | 152.81(89.06) | 190.03(87.09) | 851.07(75.80) |
| 科年均脑外伤人数/n | 91.94 | 32.29 | 13.59 | 23.34 | 98.44 |
| Glasgow Coma Scale评定/n(%) | 89.81(97.68) | 26.15(80.98) | 9.85(72.48) | 16.97(72.71) | 47.43(48.18) |
| 科年均脊髓损伤人数/n | 187.94 | 29.75 | 8.25 | 17.09 | 200.28 |
| 脊髓损伤神经学分类国际标准评定/n(%) | 168.29(89.54) | 28.35(95.29) | 7.64(92.61) | 15.38(89.99) | 169.06(84.41) |
| 脊髓独立性评估/n(%) | 75.53(40.19) | 13.75(46.22) | 3.73(45.21) | 7.25(42.42) | 124.44(62.13) |
| 科年均失语症人数/n | 229.41 | 78.54 | 32.45 | 58.71 | 167.81 |
| 失语症筛查简易试验/n(%) | 222.76(97.10) | 75.27(95.84) | 28.97(89.28) | 52.74(89.83) | 164.71(98.15) |
| 语言康复训练/n(%) | 196.53(85.67) | 69.27(88.20) | 27.55(84.90) | 51.04(86.94) | 165.35(98.53) |
| 科年均构音障碍人数/n | 171.94 | 65.04 | 34.08 | 55.40 | 142.61 |
| Frenchay构音障碍评定/n(%) | 145.69(84.73) | 53.82(82.75) | 24.78(72.71) | 42.15(76.08) | 121.56(85.24) |
| 言语康复训练/n(%) | 149.12(86.73) | 57.95(89.10) | 28.68(84.15) | 45.98(83.00) | 135.38(94.93) |
| 科年均吞咽障碍人数/n | 249.00 | 112.41 | 50.89 | 96.99 | 312.35 |
| 洼田饮水试验/n(%) | 249.00(100.00) | 108.62(96.63) | 47.51(93.36) | 90.35(93.15) | 288.53(92.37) |
| 吞咽造影检查人数/n(%) | 114.57(46.01) | 19.92(17.72) | 5.49(10.79) | 5.68(5.86) | 53.75(17.21) |
| 吞咽训练/n(%) | 236.59(95.02) | 105.36(93.73) | 45.60(89.61) | 91.53(94.37) | 302.4(96.81) |
| 科年均神经源性膀胱人数/n | 166.89 | 37.40 | 15.10 | 23.07 | 107.71 |
| 排尿日记/n(%) | 152.41(91.32) | 28.31(75.70) | 9.33(61.79) | 14.59(63.24) | 76.18(70.73) |
| 尿流动力学检查/n(%) | 95.88(57.45) | 14.58(38.98) | 2.62(17.35) | 3.29(14.26) | 63.67(59.11) |
| 间歇导尿/n(%) | 121.47(72.78) | 20.32(54.33) | 6.58(43.58) | 9.09(39.40) | 64.08(59.49) |
| 科年均痉挛人数/n | 250.50 | 110.02 | 54.31 | 72.98 | 366.2 |
| 改良Ashworth评定/n(%) | 245.69(98.08) | 108.57(98.68) | 52.47(96.61) | 67.27(92.18) | 360(98.31) |
| 神经阻滞治疗/n(%) | 25.86(10.32) | 12.12(11.02) | 4.99(9.19) | 5.10(6.99) | 16.18(4.42) |
| 科年均挛缩/n | 210.88 | 51.36 | 32.21 | 46.20 | 342.86 |
| 关节活动度评定/n(%) | 207.38(98.34) | 49.70(96.77) | 29.64(92.02) | 41(88.74) | 330.54(96.41) |
| 关节松动术/n(%) | 207.88(98.58) | 47.48(92.45) | 29.62(91.96) | 39.67(85.87) | 317.69(92.66) |
| 牵伸治疗/n(%) | 210.88(100.00) | 46.69(90.91) | 26.26(81.53) | 33.93(73.44) | 235.31(68.63) |
| 科年均深静脉血栓形成/n | 152.39 | 27.08 | 7.63 | 21.34 | 124.63 |
| 临床特征评分/Wells评分/n(%) | 606.81(43.51) | 193.30(25.74) | 75.38(15.16) | 116.10(22.35) | 394.08(17.45) |
| 预防措施/n(%) | 436.75(31.32) | 162.50(21.64) | 59.85(12.03) | 127.06(24.46) | 360.62(15.96) |
| 科年均疼痛人数/n | 347.41 | 234.20 | 254.56 | 174.39 | 482.12 |
| VAS评分/n(%) | 345.19(99.36) | 217.70(92.95) | 210.89(82.84) | 150.40(86.24) | 456.88(94.76) |
| 物理因子治疗人数/n(%) | 333.47(95.99) | 225.25(96.18) | 239.95(94.26) | 165.20(94.73) | 453.00(93.96) |
| 注射治疗/n(%) | 35.88(10.33) | 67.28(28.73) | 94.71(37.21) | 52.69(30.21) | 131.00(27.17) |
| 科年均认知功能障碍人数/n | 261.72 | 94.23 | 39.00 | 74.91 | 464.88 |
| 计算机辅助认知康复训练/n(%) | 187.06(71.47) | 58.20(61.76) | 20.88(53.54) | 32.12(42.88) | 239.00(51.41) |
| 神经调控技术(rTMS/tDCS)治疗/n(%) | 218.94(83.65) | 41.74(44.30) | 8.27(21.21) | 25.04(33.43) | 196.00(42.16) |
| 出院脑卒中患者认知功能筛查(MMSE/MoCA)/n(%) | 299.47(49.69) | 116.95(36.71) | 45.17(26.32) | 75.81(34.74) | 578.83(51.56) |
Table 2
Implementation of rehabilitation nursing projects"
| 康复护理指标 | 委属委管医院 | 三级综合医院 | 二级综合医院 | 民营医院 | 康复医院 |
|---|---|---|---|---|---|
| 脊髓损伤后神经源性膀胱/n | 166.89 | 37.40 | 15.10 | 23.07 | 171.23 |
| 接受间歇性导尿健康教育/n(%) | 159.71(95.70) | 21.19(56.66) | 4.80(31.79) | 11.59(50.24) | 71.09(41.52) |
| 人工关节置换术后/n | 64.83 | 12.82 | 6.22 | 17.86 | 56.41 |
| 接受体位指导/n(%) | 62.06(95.73) | 10.43(81.36) | 3.84(61.74) | 10.65(59.63) | 20.15(35.72) |
| 脑卒中/n | 602.72 | 318.57 | 171.59 | 218.21 | 1122.72 |
| 接受脑卒中后肩痛预防健康教育/n(%) | 255.56(42.40) | 130.01(40.81) | 77.79(45.33) | 112.54(51.57) | 480.08(42.76) |
| 脑卒中后吞咽障碍/n | 249.00 | 112.41 | 50.89 | 96.99 | 312.35 |
| 接受营养筛查/n(%) | 168.77(67.78) | 107.35(95.50) | 46.29(90.96) | 77.81(80.22) | 301.83(96.63) |
| 接受进食指导/n(%) | 233.06(93.60) | 108.57(96.58) | 49.26(96.80) | 72.90(75.16) | 249.91(80.01) |
Figure 12
Average length of stay of discharged patients from rehabilitation medicine departments of general hospitals in provincial administrative regions"
Figure 13
Average length of stay of key diseases in rehabilitation medicine departments of different levels and categories of hospitals"
Figure 14
Hospitalization costs of different levels and categories of hospitals"
Figure 15
Utilization rate of intravenous infusion in stroke patients of different levels and categories of hospitals"
Figure 16
Mortality of inpatients in rehabilitation medicine departments of different levels and categories of hospitals"
Figure 17
Complication rate of different levels and categories of hospitals"
Figure 18
Improvement rate of ADL of different levels and categories of hospitals from 2020 to 2021"
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